Therapeutic
I have no care team. However, with my medications, we had just continuously tapered off everything little by little with plans of getting off them completely. This was a little before I started keto.
Integration
I took Magnesium and Potassium Citrate regularly before bed, and had lots of mineral-rich foods to destress my body. I also find that all college students can benefit from robust EPA and DHA intake; both are critical for synaptic function, mood regulation, and visual processing. My personal staple is Carlson’s Cod Liver Oil—two teaspoons deliver ~1 g EPA + DHA plus vitamin D. Store it in the fridge; the cold keeps oxidation (and fishy burps) at bay.
Nutritional
I follow a keto diet and practice intermittent fasting, and I've found that it is exponentially easier when I recruit caffeine as an ally. A modest cup (or two – or three) of black coffee or unsweetened tea can blunt hunger, enhance alertness, and even up-regulate autophagy—your cells’ internal housekeeping system. In college, I also found that quality fats (like avocado or extra-virgin olive oil) and adequate protein were frequently in short supply in the dining halls. My rule of thumb: Use the dining hall for socialization, not for nutrition. Sip a zero-calorie beverage, focus on conversation, then prepare (or re-heat) your own food later. If you must eat there, piece together a “defensive plate”: salad bar greens, cheese, olive oil, hard-boiled eggs, and whatever grilled protein is least breaded. Ignore the dessert carousel—environmental cues trigger cravings more powerfully than you think.
Ketosis
I did not have any clinical measurement tool for ketones.